Individual provider · Type 1 NPI

Shannon Michelle Stetz, RDH

Dental Hygienist · Boise, ID

NPI number 1962956904 Active

Practice location

500 W Fort St
Boise, ID 83702-4501

Call (208) 422-1000 Map

Mailing address

10530 W Stardust Dr
Boise, ID 83709-0367

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH2281 (ID)
Dental Hygienist 124Q00000XD5980 (OR)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1962956904

Shannon Michelle Stetz, RDH's National Provider Identifier is 1962956904, issued on Aug 8, 2016. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Boise, ID. The record was last updated on Jun 10, 2022.